宫腔镜下子宫内膜息肉电切联合刮宫术治疗多发性子宫内膜息肉的效果分析

Effect analysis of hysteroscopic endometrial polyp electrocision combined with uterine curettage for multiple endometrial polyps

目的分析宫腔镜下子宫内膜息肉电切联合刮宫术治疗多发性子宫内膜息肉(EMP)的临床效果。方法 86例多发性子宫内膜息肉患者,采用数字随机法分为联合组和对照组,各43例。对照组通过宫腔镜下子宫内膜息肉电切术进行治疗,联合组在对照组基础上联合子宫内膜息肉刮宫术进行治疗,比较两组临床疗效。结果两组手术时间、术中出血量比较,差异无统计学意义(P>0.05)。治疗前,两组月经周期、月经出血量比较差异无统计学意义(P>0.05);治疗后,两组月经周期、月经出血量均优于治疗前,且联合组月经出血量少于对照组,差异有统计学意义(P<0.05)。联合组子宫出血复发率为4.65%,对照组子宫出血复发率为18.60%,比较差异有统计学意义(P<0.05)。联合组子宫内膜息肉复发率为2.33%,对照组子宫内膜息肉复发率为16.28%,比较差异有统计学意义(P<0.05)。结论宫腔镜下子宫内膜息肉电切联合刮宫术治疗多发性子宫内膜息肉具有良好的临床疗效,能有效缓解患者临床症状,降低复发率,改善患者预后,值得推广应用。

Objective To analyze the clinical effect of hysteroscopic endometrial polyp electrocision combined with uterine curettage for multiple endometrial polyps（EMP）. Methods A total of 86 patients with multiple EMP were divided into joint group and control group according to digital random method, 43 cases in each group. The control group was treated with hysteroscopic EMP electrocision, the joint group was treated with hysteroscopic endometrial polyp uterine curettage on the basis of the control group. The clinical effects between the two groups were compared. Results There was no significant difference in the operative time and intraoperative bleeding between the two groups（P0.05）. Before treatment, there were no significant differences in the menstrual cycle and amount of menstrual bleeding between the two groups（P0.05）. After treatment, the menstrual cycle and the amount of menstrual bleeding in the two groups were significantly better than those before treatment, and the amount of menstrual bleeding in the joint group was significantly less than that of the control group, the difference was statistically significant（P0.05）. The recurrence rate of uterine bleeding in the joint group was 4.65%, and the recurrence rate of uterine bleeding in the control group was 18.60%, the difference was statistically significant（P0.05）. The recurrence rate of endometrial polyps in the joint group was 2.33%, and the recurrence rate of endometrial polyps in the control group was 16.28%, the difference was statistically significant（P0.05）. Conclusion Hysteroscopic EMP electrocision combined with uterine curettage has good clinical effects in the treatment of multiple EMP. It can effectively relieve the clinical symptoms, reduce the recurrence rate and improve the prognosis of the patients. It is worthy of promotion and application.